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Environment and Health-Care Units

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Strategic Management and Economics in Health Care
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Abstract

This chapter examines and analyzes in depth the elements of a health-care unit, with particular focus on the most important type of health-care unit—namely, a hospital—with the emphasis on its environment. Taking into consideration that, according to the system theory, all typical organizations (and hence a health-care unit/hospital) are systems, we may support the view that a health-care unit/hospital is set apart by a number of elements (humans, buildings, machines, etc.), each of which has its own function. All these elements interact, cooperate, and harmonize in order to achieve the organization’s aims. Based on the above, a hospital, which is the most important health-care unit in any health-care system, influences and is influenced by the health-care system itself. For this reason, a special reference and emphasis is given to hospitals. The hospital environment (and that of health-care units in general) influences to a great extent all the levels of functioning of a health-care unit/hospital. In particular, in this chapter:

  • Analyzes and defines the term “environment”

  • Analyzes and examines in depth the meaning, the aims, and the functioning of the most important health-care unit in the health-care system, namely, the hospital

  • Examines and analyzes the internal environment of a health-care unit/hospital

  • Presents, examines, and analyzes thoroughly the most important part of a health-care unit/hospital, namely, the organizational culture

  • Presents and analyzes the external environment of a health-care unit/hospital

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References

  • Abdelhak, M., & Hanken, M. A. (2016). Health information: Management of a strategic resource (5th ed.). St. Louis, MO: Elsevier.

    Google Scholar 

  • Abel-Smith, B. (1976). Value for money in health services. London: Heinemann.

    Google Scholar 

  • Anthopoulou, S. S. (1999). Human resource management. In Management of educational units (Vol. B, pp. 17–91). Published by Open University in Greece (in Greek).

    Google Scholar 

  • Arah, O. A., Klazinga, N. S., Delnoij, D. M. J., Ten Asbroek, A. H. A., & Custers, T. (2003). Conceptual frameworks for health systems performance a quest for effectiveness quality and improvement. International Journal for Quality in Health Care, 15(5), 377–398.

    Article  Google Scholar 

  • Argyris, C. (1957). Personality and organization. New York: Horperand Row.

    Google Scholar 

  • Beck, J. (1992). School and society. Pedagogical psychological encyclopedia dictionary (pp. 4634–4635) Athens, Greece: Ellinika Grammata (in Greek).

    Google Scholar 

  • Becker, E. R., & Sloan, F. A. (1985). Hospital ownership and performance. Economic Inquiry, XXIII, 21–36.

    Article  Google Scholar 

  • Beyer, J. M., & Trice, H. M. (1987). How an organization’s rites reveal its culture. Organizational Dynamics, 15(4), 5–24.

    Article  Google Scholar 

  • Blair, J. D., Nix, T. W., Payne, T., Rotarious, T. M., & Whitehead, C. J. (2004). Stakeholder management—strategies and styles. In L. Wolper (Ed.), Health care administration (4th ed., pp. 157–190). Burlington, MA: Jones and Bartlett Publishers.

    Google Scholar 

  • Bolman, L. G., & Deal, T. E. (1984). Modern approaches to understanding and managing organisations. San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Borenstein, J., Badamgarav, G., Henning, J. M., Gano Jr., A. D., & Weingarten, S. R. (2004). The association between quality improvement activities performed by managed care organizations and quality of care. The American Journal of Medicine, 117(5), 297–304.

    Article  Google Scholar 

  • Bouradas, D. (2001). Management. Athens, Greece: Benou Publications. (in Greek).

    Google Scholar 

  • Bouradas, D. (2005). Leadership. Athens, Greece: Kritiki Publishing. (in Greek).

    Google Scholar 

  • Bouzakis, S. (1994). Educational reforms in Greece (Vol. A). Athens, Greece: Gutenberg. (in Greek).

    Google Scholar 

  • Boyne, G. A. (2003). What is public service improvement. Public Administration, 81(2), 211–227.

    Article  Google Scholar 

  • Campbell, J. (1977). On the nature of organizational effectiveness. In P. S. Goodman & J. M. Pennings (Eds.), New perspectives on organizational effectiveness (pp. 13–55). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Cardador, M. T., & Rupp, D. E. (2011). Organizational culture, multiple needs and the meaningfulness of work. In Ashkanasy, N.M., Wilderom, C.P.M. & Peterson, M.F. (Eds.) The handbook of organizational culture and climate, 2nd edition, (pp. 158–179), U.S.A.: Sage Publications.

    Google Scholar 

  • Carter, E. E. (1971). The behavioral theory of the firm and top level corporate decisions. Administrative Science Quarterly, 16(4), 413–428.

    Article  Google Scholar 

  • Child, J. (1972). Organizational structure, environment and performance: The role of strategic choice. Sociology, 6(1), 1–22.

    Article  Google Scholar 

  • Chletsos, M. (2011). Health economics. Athens: Pataki Publications. (in Greek).

    Google Scholar 

  • Chrispeels, J. (1992). Purposeful restructuring: Creating a culture to learning and achievement in elementary schools. Bristol: Falmer Press.

    Google Scholar 

  • Counte, M. A., & Meurer, S. (2001). Issues in the assessment of continuous quality improvement implementation in health care organizations. International Journal for Quality in Health Care, 13(3), 197–207.

    Article  Google Scholar 

  • Cuellar, A. G., & Gertler, P. J. (2006). Strategic integration of hospitals and physicians. Journal of Health Economics, 25, 1–28.

    Article  Google Scholar 

  • Daskalakis, D. (2009). Introduction to modern sociology. Athens, Greece: Papazisis Publishing. (in Greek).

    Google Scholar 

  • Deal, T. E., & Kennedy, A. A. (1982). Corporate cultures: The rites and rituals of corporate life. Reading, MA: Addison-Wesley Publishing.

    Google Scholar 

  • Denison, D. R. (1990). Corporate culture and organizational effectiveness. Oxford: John Wiley & Sons.

    Google Scholar 

  • Douglas, C. J., & Ryman, J. A. (2003). Understanding competitive advantage in the general hospital industry: Evaluating strategic competencies. Strategic Management Journal, 24, 333–347.

    Article  Google Scholar 

  • Dubrin, A. J. (2009). Essentials of management (8th ed.). Mason, OH: South Western, Cengage Learning.

    Google Scholar 

  • Fan, Y. (2000). A classification of Chinese culture. Cross-Cultural Management, 7(2), 1–10.

    Article  Google Scholar 

  • Feldstein, M. (1977). Quality change and the demand for hospital care. Econometrica, 45(7), 1681–1702.

    Article  Google Scholar 

  • Georgopoulos, N. (2006). Strategic management. Athens, Greece: Benou Publishing. (in Greek).

    Google Scholar 

  • Gilley, A., Dixon, P., & Gilley, J. W. (2008). Characteristics of leadership effectiveness: Implementing change and driving innovation in organizations. Human Resource Development Quarterly, 19(2), 153–169.

    Article  Google Scholar 

  • Grint, K. (2005). The sociology of work: An introduction (3rd ed.). Cambridge: Polity Press.

    Google Scholar 

  • Guzzo, R. A., & Dickson, M. W. (1996). Teams in organizations: Recent research on performance and effectiveness. Annual Review of Psychology, 47(1), 307–338.

    Article  Google Scholar 

  • Halpin, A. (1966). Theory and research in administration. Oxford: MacMillan.

    Google Scholar 

  • Hampton, D., Summer, C., & Webber, R. (1987). Organizational behavior and the practice of management. Glenview, IL: Scott Foresman & Co..

    Google Scholar 

  • Handy, C. (1981). Understanding organizations. London: Penguin Publishing.

    Google Scholar 

  • Hanlon, N. T. (2001). Sense of place organizational context and the strategic management of publicly funded hospitals. Health Policy, 58, 151–173.

    Article  Google Scholar 

  • Hickson, D., Hinings, C., McMillan, C., & Schwitter, J. (1974). The culture free context of organization structures: A tri-national comparison. Sociology, 8(1), 59–80.

    Article  Google Scholar 

  • Hit, M. A., & Middlemist, R. D. (1979). A methodology to develop the criteria and criteria weightings for assessing subunit effectiveness in organizations. Academy of Management Journal, 22(2), 356–374.

    Google Scholar 

  • Hofstede, G. (1980). Culture’s consequences: International differences in work-related values. Michigan: Sage Publications.

    Google Scholar 

  • Hosking, J. E. (2004). Planning healthcare facilities and managing the development process. In L. Wolper (Ed.), Health care administration (4th ed., pp. 373–396). Burlington, MA: Jones and Bartlett Publishers.

    Google Scholar 

  • Hoy, W., & Miskel, C. (1996). Educational administration: Theory, research and practice. New York: McGraw Hill.

    Google Scholar 

  • Ifantopoulos, Y. (2006). Health economics. Athens, Greece: Tipothito Publishing. (in Greek).

    Google Scholar 

  • Iordanoglu, D. (2008). Human resource management in modern organizations. Athens, Greece: Kritiki Publishing. (in Greek).

    Google Scholar 

  • Kantas, A. (1995). Organizational–industrial psychology. (Part 1 and 3). Athens, Greece: Ellinika Grammata Publishing. (in Greek).

    Google Scholar 

  • Koen, C. (2005). Comparative international management. Berkshire: McGraw-Hill.

    Google Scholar 

  • Kontakos, A. (2009). Shaping a culture of educational change. In A. Kontakos & F. Kalavasis (Eds.), Issues of educational design: Change and governance of educational systems (pp. 77–86). Athens, Greece: Atrapos Publishing. (in Greek).

    Google Scholar 

  • Kontis, T. (1994). Administrative psychology. Athens, Greece: Singhroni Ekdotiki Publishing. (in Greek).

    Google Scholar 

  • Koulougliotis, N. (1992). Sociology: Introduction to the science of sociology, issues of sociology in education. Athens, Greece: Singhroni Ekdotiki Publishing. (in Greek).

    Google Scholar 

  • Levine, S., & White, D. E. (1961). Exchange as a conceptual framework for the study of interorganizational relationships. Administrative Science Quarterly, 5(4), 583–601.

    Article  Google Scholar 

  • Lezotte, L. (1992). Effective schools practices that work. Okemos, MI: Effective School Products Ltd..

    Google Scholar 

  • Li, L. X., Benton, W. C., & Leong, G. K. (2002). The impact of strategic operations management decisions on community hospital performance. Journal of Operations Management, 20, 389–408.

    Article  Google Scholar 

  • Likert, R. (1961). New patterns of management. New York: McGraw-Hill.

    Google Scholar 

  • Mamouz, B., Rousseau, A., & Hudon, P. A. (2016). Strategic management in public administration: A result based approach to strategic public management. International Review of Administrative Sciences, 82(3), 411–417.

    Article  Google Scholar 

  • Marchinko, D. E., & Hetico, H. R. (2013). Overview of operations in health care organizations today: Understanding trends and management objectives. In D. E. Marchinko & H. R. Hetico (Eds.), Hospitals and health care organizations. Management strategies operational techniques, tools, templates and case studies (pp. 3–28). Boca Raton, FL: CRC Press/Taylor & Francis Group.

    Google Scholar 

  • Martin, J., & Siehl, C. (1983). Organizational culture and counterculture: An uneasy symbiosis. Organizational Dynamics, 12(2), 52–64.

    Article  Google Scholar 

  • Matsagouras, E. (2000). The classroom. Athens, Greece: Matsagouras Publishing. (in Greek).

    Google Scholar 

  • McConnell, K. J., Chang, A. M., Maddox, T. M., Wholey, D. R., & Lindrooth, R. C. (2014). An exploration of management practices in hospitals. Healthcare, 2, 121–129.

    Article  Google Scholar 

  • McKee, M., & Healy, J. (2002). The significance of hospitals: An introduction. In M. McKee & J. Healy (Eds.), Hospitals in a changing Europe (European Observatory on Health Care Systems series Edited by Figueras, J., McKee, M., Mossialos, E. & Saltman, R.B.) (pp. 3–13). Buckingham: Open University Press.

    Google Scholar 

  • Michopoulos, Α. (1998). Educational administration (Vol. Ι and ΙΙ). Athens, Greece: Michopoulos Publishing.

    Google Scholar 

  • Mintzberg, H. (1979). The structuring of organizations: A synthesis of the research. Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Mintzberg, H. (1983). Power in and around organizations (The theory of management policy series). Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Mintzberg, H., Lampel, J., Quinn, J. B., & Ghoshal, S. (2003). The strategy process: Concepts, contexts cases. Essex: Pearson Education Limited.

    Google Scholar 

  • Mortimore, P., & Whitty, G. (2001). Can school improvement overcome the effects of disadvantage. In T. Cox (Ed.), Combating educational disadvantage (pp. 156–176). New York: Falmer Press.

    Google Scholar 

  • Mullins, L. J. (2010). Management and organisational behavior (9th ed.). London: Prentice Hall.

    Google Scholar 

  • Noether, M. (1988). Competition among hospitals. Journal of Health Economics, 7, 259–284.

    Article  Google Scholar 

  • Osborn, R. N., & Baughn, C. C. (1994). An assessment of the state of the field of organizational design. Alexandria, VA: U.S. Army Research Institute.

    Google Scholar 

  • Ouinn, J. B. (1980). Strategies for change: Logical incrementalism. Homewood, IL: Irwin.

    Google Scholar 

  • Ouston, J. (2003). School effectiveness and school improvement. In M. Preedy, R. Glatter, & C. Wise (Eds.), Strategic leadership and educational improvement (pp. 252–264). Buckingham: Open University Press.

    Google Scholar 

  • Paisey, A. (1992). Organization and management in schools (2nd ed.). London: Longman.

    Google Scholar 

  • Panagiotopoulou, R. (1997). Communication in organizations. Athens, Greece: Kritiki Publishing. (in Greek).

    Google Scholar 

  • Papanaum, Z. (1995). School leadership. Thessaloniki, Greece: Kyriakidis Publishing. (in Greek).

    Google Scholar 

  • Papoulias, D. (2002). Business strategic management & change management. Athens, Greece: Kastanioti Publishing. (in Greek).

    Google Scholar 

  • Payne, R. (1991). Taking stock of corporate culture. Personnel Management, 127, 25–29.

    Google Scholar 

  • Perry, D., Staudenmayer, N. A., & Votta, L. G. (1994). People, organizations and process improvement. IEEE Software, 11(4), 36–45.

    Article  Google Scholar 

  • Peters, T. J., & Waterman, R. H. (1982). Search of excellence. Manhattan, NY: Harper & Row.

    Google Scholar 

  • Pheysey, D. C. (1993). Organizational cultures. London: Routledge.

    Book  Google Scholar 

  • Robey, D. (1982). Designing organizations: A macro perspective. Homewood, iL, Richard D. Irwin.

    Google Scholar 

  • Sackman, S. A. (2011). Culture and performance. In N. M. Ashkanasy, C. P. M. Wilderom, & M. F. Peterson (Eds.), The handbook of organizational culture and climate (pp. 188–224). Thousand Oaks, CA: Sage Publications.

    Chapter  Google Scholar 

  • Saiti, A. (2013). Reforms in Greek education 1991–2011: Reforms or something else?. eJournal of Education Policy, Spring. Retrieved from http://nau.edu/COE/eJournal/_Forms/spring2013/Saiti. (Online 10 p, pp. 1–10).

  • Sammons, P., Hilliman, J., & Mortimore, P. (1995). Key characteristics of effective school: A review of school effectiveness research. London: Office for Standards in Education.

    Google Scholar 

  • Schein, E. H. (2010). Organizational culture and leadership (4th ed.). San Francisco, CA: Jossey Bass.

    Google Scholar 

  • Schermerhorn Jr., J. R., Hunt, J. G., & Osborn, R. N. (2002). Organizational behaviour (7th ed.). New York: Wiley.

    Google Scholar 

  • Schneeweiss, C. (1998). Hierarchical planning in organisations: Elements of a general theory. International Journal of Production Economics, 56–57, 547–556.

    Article  Google Scholar 

  • Schwartz, H., & Davis, S. (1981). Matching corporate culture and business strategy. Organizational Dynamic, 10(1), 30–48.

    Article  Google Scholar 

  • Scott, W. (1981). Organisations: Rational, national and open systems. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Scott, W. R., & Davis, G. F. (2016). Organizations and organizing rational natural and open system perspectives. New York, NY: Routledge.

    Google Scholar 

  • Snook Jr., D. I. (2004). Hospital organization and management. In L. Wolper (Ed.), Health care administration (4th ed., pp. 651–662). Burlington, MA: Jones and Bartlett Publishers.

    Google Scholar 

  • Stoll, L. (2003). School culture and improvement. In M. Preedy, R. Glatter, & C. Wise (Eds.), Strategic leadership and educational improvement (pp. 93–108). Buckingham: Open University Press.

    Google Scholar 

  • Stoll, L., & Myers, K. (1998). No quick fixes: An introduction. In L. Stoll & K. Myers (Eds.), No quick fixes: Perspectives on schools in difficulty (pp. 1–14). London: Falmer Press.

    Google Scholar 

  • Swayne, L. G., Duncan, W. J., & Ginter, P. M. (2006). Strategic management of health care organizations (5th ed.). Oxford: Blackwell Publishing.

    Google Scholar 

  • Taylor, F. (1911). The principles of scientific management. New York, NY: Harper and Row.

    Google Scholar 

  • Terry, G. (1970). Office management and control. London: Rizwin Publishing.

    Google Scholar 

  • Thomas, R. (1974). Environment analysis for corporate planning. Business Horizons, 17(5), 27–38.

    Article  Google Scholar 

  • Tomasik, J. (2013). Collaborating to enhance performance in a changing health care landscape: Opportunities for widespread policy and outcomes improvement. In D. E. Marchinko & H. R. Hetico (Eds.), Hospitals and health care organizations. Management strategies operational techniques, tools, templates and case studies (pp. 195–206). Boca Raton, FL: CRC Press/Taylor & Francis Group.

    Google Scholar 

  • Trompenaars, F., & Hampden-Turner, C. (1999). Riding the waves of culture (2nd ed.). London: Nicholas Brealey Publishing.

    Google Scholar 

  • Williams, K., & Johnson, B. (2004). Introducing management: A development guide. Great Britain: Planta Tree.

    Google Scholar 

  • Yasin, M., Alavi, J., Kunt, M., & Zimmerer, T. W. (2004). TQM practices in service organizations: An exploratory study into the implementation outcome and effectiveness. Managing Service Quality: An International Journal, 14(5), 377–389.

    Article  Google Scholar 

  • Zacharis, E. (1985). History, organization and management technique and professional education. Athens, Greece: OEDB Publishing. (in Greek).

    Google Scholar 

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Chletsos, M., Saiti, A. (2019). Environment and Health-Care Units. In: Strategic Management and Economics in Health Care. Springer, Cham. https://doi.org/10.1007/978-3-030-35370-4_2

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  • DOI: https://doi.org/10.1007/978-3-030-35370-4_2

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